@Article{Kozłowski2007,
journal="Archives of Medical Science",
issn="1734-1922",
volume="3",
number="4",
year="2007",
title="Clinical researchThe estimation of clinical and home-based tilt training efficacy",
abstract="  Introduction:  Tilt training is a method of treatment of vasovagal patients. Two strategies make it possible to be performed as clinical and home-based training. The aim of the study was an attempt to compare the efficacy of the two types of training.   Material and methods:  The investigation was carried out on a group of 49 patients, between the ages of 16 and 73 (average 37.4\±17.0) with recurrent syncopal episodes and positive head-up tilt test. To obtain a positive vasovagal reaction we used  4 different protocols: passive without any provocation test (pass-test), active using nitroglycerin (ntg-test), adenosine (adn-test), physiological fluid infusion (fluid-test). The patients were randomized into two groups \– those treated in clinical and  home-based tilt training. In both groups the criterion of efficacy was gaining the effect of 45 minutes of uninterrupted standing. The remote effect was also assessed  \– a relapse of syncope during 6 months of observation.   Results:  In the group of patients treated in clinical conditions, the efficacy of training was 69%, compared with 56% among patients treated by home-based tilt training. A relapse of syncope occurred in both groups with comparable frequency (41 vs. 36%) during 6 months of observation.   Conclusions:  Both variants of tilt training are characterized by a similar long-term efficacy. The type of method applied should be mainly dependent on the abilities and preferences of the patient.",
author="Kozłowski, Dariusz
and Łepska, Lidia
and Zapaśnik, Patrycja
and Budrejko, Szymon
and Kozłowska, Magdalena
and Sidłowska, Edyta
and Lewicka-Nowak, Ewa
and Dąbrowska-Kugacka, Alicja
and Dudziak, Maria
and Raczak, Grzegorz",
pages="351--354",
url="https://www.termedia.pl/Clinical-research-The-estimation-of-clinical-and-home-based-tilt-training-efficacy,19,9694,1,1.html"
}